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Deficiency Records for Westmoreland Rehabilitation and Healthcare Center

A list of the most recent deficiencies for Westmoreland Rehabilitation and Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Westmoreland Rehabilitation and Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Reasonably accommodate the needs and preferences of each resident. Health 2023-06-08 2023-07-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-06-08 2023-07-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-06-08 2023-07-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-08 2023-07-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-06-08 2023-07-15 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-06-08 2023-07-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-06-08 2023-07-15 N
Ensure medication error rates are not 5 percent or greater. Health 2023-06-08 2023-07-15 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2023-06-08 2023-07-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-06-08 2023-07-15 N
Provide and implement an infection prevention and control program. Health 2023-06-08 2023-07-15 N
Implement a program that monitors antibiotic use. Health 2023-06-08 2023-07-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-06-08 2023-07-15 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-06-08 2023-07-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-06-12 2023-07-06 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-02-21 2022-04-26 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-02-21 2022-04-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-02-21 2022-04-26 N
Have enough space near smoke barriers to protect residents. Fire Safety 2022-02-21 2022-04-26 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-02-21 2022-04-26 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-02-21 2022-04-26 N
Ensure electrical receptacles or cover plates have distinctive color or marking. Fire Safety 2022-02-21 2022-04-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-02-17 2022-03-18 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2022-02-17 2022-03-18 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2022-02-17 2022-03-18 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-02-17 2022-03-18 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-02-17 2022-03-18 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2022-02-17 2022-03-18 N
Post nurse staffing information every day. Health 2022-02-17 2022-03-18 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-02-17 2022-03-18 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2022-02-17 2022-03-18 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-02-17 2022-03-18 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-02-17 2022-03-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-17 2022-03-18 N
Provide and implement an infection prevention and control program. Health 2022-02-17 2022-03-18 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-02-17 2022-03-18 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-02-17 2022-03-18 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-17 2022-03-18 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-02-17 2022-03-18 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-02-17 2022-03-18 Y
Address subsistence needs for staff and patients. Fire Safety 2022-02-17 2022-03-18 N
Establish policies and procedures for medical documentation. Fire Safety 2022-02-17 2022-03-18 N
Establish policies and procedures for volunteers. Fire Safety 2022-02-17 2022-03-18 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-03-11 2019-05-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-03-11 2019-05-03 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-03-11 2019-05-03 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-03-11 2019-05-03 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-02-07 2019-03-22 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-02-07 2019-03-22 N
Keep residents' personal and medical records private and confidential. Health 2019-02-07 2019-03-22 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2019-02-07 2019-03-22 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-02-07 2019-03-22 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-02-07 2019-03-22 N
Respond appropriately to all alleged violations. Health 2019-02-07 2019-03-22 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-02-07 2019-03-22 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2019-02-07 2019-03-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-02-07 2019-03-22 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-02-07 2019-03-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-02-07 2019-03-22 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-02-07 2019-03-22 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2019-02-07 2019-03-22 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2019-02-07 2019-03-22 N
Ensure that residents are free from significant medication errors. Health 2019-02-07 2019-03-22 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2019-02-07 2019-03-22 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-02-07 2019-03-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-02-07 2019-03-22 N

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